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Organization
HOME DOCTOR NETWORK, LLC
Active
Organization
HOME DOCTOR NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PAUL BAGBY (AUTHORIZED MEMBER)
(727) 415-2308
Entity
Organization
Contact information
Practice address
5260 78TH AVE N UNIT 1562, PINELLAS PARK, FL 33780-8062
(727) 415-2308
Mailing address
5260 78TH AVE N UNIT 1562, PINELLAS PARK, FL 33780-8062
(727) 415-2308
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
—
170100000X
Ph.D. Medical Genetics
—
NULL
170100000X
Ph.D. Medical Genetics
—
—
170300000X
Genetic Counselor (M.S.)
—
NULL
170300000X
Genetic Counselor (M.S.)
—
—
174H00000X
Health Educator
—
NULL
174H00000X
Health Educator
—
—
202K00000X
Phlebology Physician
—
NULL
202K00000X
Phlebology Physician
—
—
251B00000X
Case Management Agency
Primary
—
NULL
251E00000X
Home Health Agency
—
NULL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BD1200X
Dialysis Equipment & Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
Other
Enumeration date
05/15/2020
Last updated
11/05/2020
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